Individual provider Active NPI

Stephen M Bockhold, M.D.

  • Family Medicine Physician
  • Saint Paul, MN
National Provider Identifier
1174732952
Registry record updated Aug 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
49675 Issued in MN
Practice address
767 Eustis St Ste 150
Saint Paul, MN 55114-0019
Phone
(612) 721-2491
NPI assigned
May 21, 2007
Last updated
Aug 20, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 49675 MN Primary

Addresses

Primary practice location

767 Eustis St Ste 150
Saint Paul, MN 55114-0019

Mailing address

767 Eustis St Ste 150
Saint Paul, MN 55114-0019
Phone (612) 721-2491

Other identifiers 4

IdentifierTypeStateIssuer
16P73BOOtherMNBCBS
P00436607OtherRRMEDICARE PTAN
857913100MedicaidMN
1174732952OtherMEDICA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, WI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070918000500 MN Practitioner - Geriatric MedicinePractitioner - Family Practice 8628162963 Reassigns benefits to 3 organizations
I20100111000189 WI Practitioner - Emergency MedicinePractitioner - Family Practice 8628162963 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
The Duluth Clinic, LTD CurrentSince Nov 16, 2009 Accepting new patients
The Duluth Clinic, LTD. CurrentSince Nov 16, 2009 Accepting new patients
The Duluth Clinic, LTD Current Accepting new patients
International Falls Memorial Hospital Association CurrentSince Jun 15, 2022 Accepting new patients
Accentcare Medical Group of Wisconsin, S.C. CurrentSince Jun 24, 2025 Accepting new patients
Accentcare Medical Group of Minnesota, PC CurrentSince Mar 3, 2025 Accepting new patients
Seasons Hospice & Palliative Care of Wisconsin, LLC Family Medicine CurrentSince Dec 7, 2025 Accepting new patients
International Falls Memorial Hospital Association CurrentSince Jun 15, 2022 Accepting new patients
Community Memorial Hospital Association PastSince Jan 2, 2022 Accepting new patients

Locations

405 W 3rd Ave N
Aurora, MN 55705
Phone (218) 229-3311

512 Skyline Blvd
Cloquet, MN 55720
Phone (218) 878-7207

512 Skyline Blvd
Ste 1
Cloquet, MN 55720
Phone (218) 879-4641

330 N 8th Ave E
Duluth, MN 55805
Phone (218) 529-9122

400 E 3rd St
Duluth, MN 55805
Phone (218) 722-8364

328 W Conan St
Ely, MN 55731
Phone (218) 365-3271

1400 Highway 71
Intl Falls, MN 56649
Phone (218) 283-4481

4572 County Road 61
Moose Lake, MN 55767
Phone (218) 485-4481

767 Eustis St
Ste 150
Saint Paul, MN 55114
Phone (612) 721-2491

17855 Dallas Pkwy
Ste 200
Dallas, TX 75287
Phone (972) 201-3800

15495 County Road B
Hayward, WI 54843
Phone (715) 634-2641

3500 Tower Ave
Superior, WI 54880
Phone (715) 392-8281

6737 W Washington St
Ste 2150
West Allis, WI 53214
Phone (414) 203-8310

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787184000000",
    "number": "1174732952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "767 EUSTIS ST STE 150",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551140019",
            "telephone_number": "612-721-2491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "767 EUSTIS ST STE 150",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551140019",
            "telephone_number": "612-721-2491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOCKHOLD",
        "first_name": "STEPHEN",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "49675",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "16P73BO",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMEDICARE PTAN",
            "identifier": "P00436607",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "857913100",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "1174732952",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.